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NPI 1992463368

NPI 1992463368 : RITI DI ANGELI : SAN MARCOS, CA

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General NPI Number Information
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    NPI Number           |    1992463368
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    Entity Type          |    Individual 
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    Provider Name        |    RITI DI ANGELI
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/02/2021
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    Last Update Date     |    12/02/2021
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Provider Practice Location Address
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    Address Line         |    900 LA FIESTA CT 
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    City                 |    SAN MARCOS
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    State                |    CA
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    Zip                  |    92078-4730
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    Country              |    US
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    Telephone            |    760-621-4404
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    900 LA FIESTA CT 
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    City                 |    SAN MARCOS
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    State                |    CA
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    Zip                  |    92078-4730
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    Country              |    US
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    Telephone            |    760-621-4404
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TS0200X
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    Taxonomy Name        |    School Psychologist
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    License Number       |    
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    License Number State |    CA
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